| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.23 | $252.90 | $252.90 | |
Aetna
| Professional | $78.84 | $122.81 | $254.13 | |
Anthem BCBS
| Professional | $108.37 | $173.63 | $256.47 | |
Cigna
| Facility | $626.75 | $626.75 | $626.75 | |
Cigna
| Professional | $104.30 | $154.53 | $257.14 | |
ConnectiCare
| Professional | $51.00 | $142.66 | $254.87 | |
Health New England
| Professional | $181.05 | $234.11 | $279.74 | |
United
| Professional | $118.70 | $177.26 | $275.12 |